Counselling in Chapmanslade

Photo of Natalie Ward, Psychotherapist, MBACP
Natalie Ward
Psychotherapist, MBACP
1 Endorsed
I offer therapy from a peaceful and cosy cabin in a beautiful woodland, close to Frome. I trained in Integrative Psychotherapy which means I draw from different theories and perspectives depending on what is right for you. You may simply want a confidential space to talk, or you may want tools, techniques and new perspectives to help you. Together we might explore thoughts, behaviours and feelings you’d like to change, how the past is affecting your present, or how to plan and create the future you want. My hope is that our work enables you to move forwards in a way that serves you, your relationships and your day to day life.
I offer therapy from a peaceful and cosy cabin in a beautiful woodland, close to Frome. I trained in Integrative Psychotherapy which means I draw from different theories and perspectives depending on what is right for you. You may simply want a confidential space to talk, or you may want tools, techniques and new perspectives to help you. Together we might explore thoughts, behaviours and feelings you’d like to change, how the past is affecting your present, or how to plan and create the future you want. My hope is that our work enables you to move forwards in a way that serves you, your relationships and your day to day life.
01743 293678 View 01743 293678
Photo of Emma P Ramarge, Counsellor, MBACP
Emma P Ramarge
Counsellor, MBACP
Overwhelmed, shutdown & anxiety, past/ present trauma or neurodivergence. You might feel overwhelmed, shut down, or constantly on edge, and talking about it hasn’t really helped. I support trauma-affected and neurodivergent adults and teens (Autism, ADHD, OCD) who feel anxious, disconnected, or pushed beyond their capacity. Many people come to me after trying therapy and still feeling stuck. We work gently with both mind and body so you can feel calmer, safer, and more like yourself again.
Overwhelmed, shutdown & anxiety, past/ present trauma or neurodivergence. You might feel overwhelmed, shut down, or constantly on edge, and talking about it hasn’t really helped. I support trauma-affected and neurodivergent adults and teens (Autism, ADHD, OCD) who feel anxious, disconnected, or pushed beyond their capacity. Many people come to me after trying therapy and still feeling stuck. We work gently with both mind and body so you can feel calmer, safer, and more like yourself again.
01373 486580 View 01373 486580

More Therapists Nearby

Photo of Dr Molly Brimson, Psychologist, DCounsPsych, HCPC - Couns. Psych.
Dr Molly Brimson
Psychologist, DCounsPsych, HCPC - Couns. Psych.
Serves Area
Waitlist for new clients
Perhaps you're feeling low or anxious - maybe you're struggling with decisions about the future of a relationship or feel stuck and unhappy with the life you are leading. Whatever your needs may be, I am here to offer support. I work with adults and young people from all works of life. My specialisms include anxiety and low self-esteem, trauma-related difficulties, depression and low mood, bereavement and loss, and relationship and attachment difficulties.
Perhaps you're feeling low or anxious - maybe you're struggling with decisions about the future of a relationship or feel stuck and unhappy with the life you are leading. Whatever your needs may be, I am here to offer support. I work with adults and young people from all works of life. My specialisms include anxiety and low self-esteem, trauma-related difficulties, depression and low mood, bereavement and loss, and relationship and attachment difficulties.
023 8144 0112 View 023 8144 0112
Photo of Lucy Perkins - Lucy Perkins Counselling, Counsellor, MNCPS Acc.
Lucy Perkins Counselling
Counsellor, MNCPS Acc.
Bristol BS8
A very warm welcome to you. I work with a person centred approach, ensuring our sessions feel right for you as a unique individual. My style of counselling is non-directive, relaxed and inclusive, which means our work together is designed around what you want and need. The work is supportive and respectful as we go at your pace and my aim is to get alongside you on your path, helping you explore your world to find understanding, clarity or solution. Sessions are centered around you and how you experience yourself and the world around you. You are free to come as you are and be accepted, as you are.
A very warm welcome to you. I work with a person centred approach, ensuring our sessions feel right for you as a unique individual. My style of counselling is non-directive, relaxed and inclusive, which means our work together is designed around what you want and need. The work is supportive and respectful as we go at your pace and my aim is to get alongside you on your path, helping you explore your world to find understanding, clarity or solution. Sessions are centered around you and how you experience yourself and the world around you. You are free to come as you are and be accepted, as you are.
01392 690513 View 01392 690513
Photo of Gemma Mason, Psychotherapist, MSc, MUKCP
Gemma Mason
Psychotherapist, MSc, MUKCP
1 Endorsed
I approach working with clients as meeting the individual within their current situation. I hold a non-judgemental position and offer unconditional acceptance. I work with a diverse population but I am unable to offer access to my practice room for wheelchairs
I approach working with clients as meeting the individual within their current situation. I hold a non-judgemental position and offer unconditional acceptance. I work with a diverse population but I am unable to offer access to my practice room for wheelchairs
07723 492916 View 07723 492916
Photo of Tracey Murphy, Counsellor, MBACP Accred
Tracey Murphy
Counsellor, MBACP Accred
Serves Area
I am a Qualified Accredited Counsellor/Psychotherapist and a member of the BACP (British Association of Counselling Psychotherapists). I have over 17 years of Counselling experience and am employed as a Counsellor/Psychotherapist and also work privately/independently as a Counsellor/Psychotherapist. All therapy is tailor made for you. Whether you prefer Zoom online counselling, telephone counselling or face to face 121 counselling, I am able to help and support you with whatever your preference.
I am a Qualified Accredited Counsellor/Psychotherapist and a member of the BACP (British Association of Counselling Psychotherapists). I have over 17 years of Counselling experience and am employed as a Counsellor/Psychotherapist and also work privately/independently as a Counsellor/Psychotherapist. All therapy is tailor made for you. Whether you prefer Zoom online counselling, telephone counselling or face to face 121 counselling, I am able to help and support you with whatever your preference.
07401 228607 View 07401 228607
Photo of James Howson, Counsellor, UKCP Trainee
James Howson
Counsellor, UKCP Trainee
Bristol BS39
Seeking counselling or therapy is a big step. As a psychotherapeutic counsellor, I provide therapy for anxiety, low mood and depression, grief, trauma, relationship difficulties, stage of life transitions and many more situations and experiences people find themselves in. I believe in creating a safe and supportive environment where you can express your thoughts and feelings, feel seen and heard, and we can work together to improve your quality of life. I believe the core principal of "I'm ok, you're ok", meaning I believe everyone has value, regardless of circumstance. All clients are welcome, regardless of gender, race or belief.
Seeking counselling or therapy is a big step. As a psychotherapeutic counsellor, I provide therapy for anxiety, low mood and depression, grief, trauma, relationship difficulties, stage of life transitions and many more situations and experiences people find themselves in. I believe in creating a safe and supportive environment where you can express your thoughts and feelings, feel seen and heard, and we can work together to improve your quality of life. I believe the core principal of "I'm ok, you're ok", meaning I believe everyone has value, regardless of circumstance. All clients are welcome, regardless of gender, race or belief.
01225 985716 View 01225 985716
Photo of Simone Wilmot, Counsellor, MBACP
Simone Wilmot
Counsellor, MBACP
1 Endorsed
Devizes SN10
Waitlist for new clients
Hi there, thank you for taking the time to look at my profile and I'm sorry to hear you're struggling. It's hard to reach out and ask for help, this is the first step and you've done it. Life has it's ups and downs, it can throw curveballs and be overwhelming. We don't always understand this and the reasons why we feel the way we do. Imagine how empowering it would be if you could find some of the answers. This is where I can help. I can provide you with a non-judgemental, confidential and secure space to explore what is going on for you. I'm here to help you every step of the way, alongside you.
Hi there, thank you for taking the time to look at my profile and I'm sorry to hear you're struggling. It's hard to reach out and ask for help, this is the first step and you've done it. Life has it's ups and downs, it can throw curveballs and be overwhelming. We don't always understand this and the reasons why we feel the way we do. Imagine how empowering it would be if you could find some of the answers. This is where I can help. I can provide you with a non-judgemental, confidential and secure space to explore what is going on for you. I'm here to help you every step of the way, alongside you.
01380 717114 View 01380 717114
Photo of Louise Elizabeth Ayling, Psychotherapist, PNCPS Acc.
Louise Elizabeth Ayling
Psychotherapist, PNCPS Acc.
Serves Area
Are you struggling to resolve current issues that are creating difficulties in your life and not sure where to turn? I offer a supportive and compassionate safe space for you to talk through and explore your feelings, helping you to find your way to healing and making the positive changes that you seek. Whether you are experiencing stress, anxiety, relationship problems, trauma, narcissistic abuse, addiction issues, bereavement and loss, low self esteem, infertility, Long Covid, please contact me so that I can offer you a calming, comforting and confidential Initial Consultation Session to discuss the problems you are facing.
Are you struggling to resolve current issues that are creating difficulties in your life and not sure where to turn? I offer a supportive and compassionate safe space for you to talk through and explore your feelings, helping you to find your way to healing and making the positive changes that you seek. Whether you are experiencing stress, anxiety, relationship problems, trauma, narcissistic abuse, addiction issues, bereavement and loss, low self esteem, infertility, Long Covid, please contact me so that I can offer you a calming, comforting and confidential Initial Consultation Session to discuss the problems you are facing.
01785 907063 View 01785 907063
Photo of Emma Reeves, Psychotherapist, MSc, HCPC-Art Therap.
Emma Reeves
Psychotherapist, MSc, HCPC-Art Therap.
Bristol BS6
I am Art Psychotherapist providing art therapy sessions to adults and young adults in Bristol. I have 15 years experience practicing as an Art Psychotherapist with children, young people and adults in the voluntary sector. I am currently working within the Child and Adolescent Mental Health Service. I am familiar with working with the wide range of symptoms arising from trauma such as: anxiety, depression, self harm, behavioural difficulties, dissociation, hyperactivity, hypervigilance, eating difficulties, social difficulties, anger, aggression, etc. I am specialised in working with trauma.
I am Art Psychotherapist providing art therapy sessions to adults and young adults in Bristol. I have 15 years experience practicing as an Art Psychotherapist with children, young people and adults in the voluntary sector. I am currently working within the Child and Adolescent Mental Health Service. I am familiar with working with the wide range of symptoms arising from trauma such as: anxiety, depression, self harm, behavioural difficulties, dissociation, hyperactivity, hypervigilance, eating difficulties, social difficulties, anger, aggression, etc. I am specialised in working with trauma.
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Photo of Nina Hayes, Psychotherapist, MSc, MBABCP
Nina Hayes
Psychotherapist, MSc, MBABCP
Online Only
My name is Nina Hayes and I am a qualified and accredited CBT and EMDR therapist. I have over 15 years of experience in the field of Mental Health. I specialise in helping clients to understand and work through issues such as stress, depression, trauma, anxiety and low self esteem. I aim to help you to navigate through your problems and offer solution focused support, in a safe and supportive environment. Alongside offering therapy, I also offer supervision to other therapists.
My name is Nina Hayes and I am a qualified and accredited CBT and EMDR therapist. I have over 15 years of experience in the field of Mental Health. I specialise in helping clients to understand and work through issues such as stress, depression, trauma, anxiety and low self esteem. I aim to help you to navigate through your problems and offer solution focused support, in a safe and supportive environment. Alongside offering therapy, I also offer supervision to other therapists.
0161 524 5801 View 0161 524 5801
Photo of Sam Tinson, Psychotherapist, UKCP Trainee
Sam Tinson
Psychotherapist, UKCP Trainee
Bath BA2
Life is rarely easy, and sometimes our problems are too much to bear alone. Therapy answers our natural, human need to be heard and understood at the deepest level. It can help make sense of difficult or painful feelings, uncover fresh insights and perspectives, and provide a path out of stuckness and unhelpful patterns.
Life is rarely easy, and sometimes our problems are too much to bear alone. Therapy answers our natural, human need to be heard and understood at the deepest level. It can help make sense of difficult or painful feelings, uncover fresh insights and perspectives, and provide a path out of stuckness and unhelpful patterns.
01225 435178 View 01225 435178
Photo of Sophia Armstrong, Psychotherapist, MA, MBACP Accred
Sophia Armstrong
Psychotherapist, MA, MBACP Accred
Serves Area
Struggle to make sense of things or finding it difficult to cope? Counselling can help you come to terms with things, and make real changes in your life. You may find it useful to come and talk if you are dealing with difficult emotional issues, relationship difficulties, or specific psychological or mental health problems. Therapy can help you to find clarity and balance in your life. That may be dealing with traumatic past events, learning to connect with others or helping you to understand yourself better and making positive choices for the future. It can be a relief to talk to someone and feel that they are listening.
Struggle to make sense of things or finding it difficult to cope? Counselling can help you come to terms with things, and make real changes in your life. You may find it useful to come and talk if you are dealing with difficult emotional issues, relationship difficulties, or specific psychological or mental health problems. Therapy can help you to find clarity and balance in your life. That may be dealing with traumatic past events, learning to connect with others or helping you to understand yourself better and making positive choices for the future. It can be a relief to talk to someone and feel that they are listening.
01489 666616 View 01489 666616
Photo of Dr Ashley Watson, Psychologist, PsychD, HCPC - Clin. Psych.
Dr Ashley Watson
Psychologist, PsychD, HCPC - Clin. Psych.
Bristol BS5
Hi, I’m Ash. I’m a Clinical Psychologist and trainee EMDR therapist, experienced in trauma, anxiety, shame, psychosis, addiction and more. I have worked across various clinical settings both in the community and inpatient. My approach is warm, collaborative, and grounded in evidence-based therapies. I have worked within the NHS and externally, supporting individuals, couples and families. I am proud to work alongside those with different identities, cultures and beliefs. Whether we meet in person or online, I offer a safe, supportive space for you to explore your experiences at a pace that feels right for you, without judgment.
Hi, I’m Ash. I’m a Clinical Psychologist and trainee EMDR therapist, experienced in trauma, anxiety, shame, psychosis, addiction and more. I have worked across various clinical settings both in the community and inpatient. My approach is warm, collaborative, and grounded in evidence-based therapies. I have worked within the NHS and externally, supporting individuals, couples and families. I am proud to work alongside those with different identities, cultures and beliefs. Whether we meet in person or online, I offer a safe, supportive space for you to explore your experiences at a pace that feels right for you, without judgment.
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Photo of Men Rowlands - A Space For Men to Talk., Counsellor, BACP
A Space For Men to Talk.
Counsellor, BACP
2 Endorsed
Serves Area
Many of the men I work with have spent years pushing things down, coping alone, or feeling they should just “get on with it” — until life becomes too heavy to carry quietly. I work specifically with men and understand that starting therapy can feel unfamiliar, uncomfortable, or difficult to talk about. I offer a supportive, non-judgemental space where you can speak openly and be properly heard. Before becoming a therapist, I spent over 25 years working in the construction industry. I understand the pressures many men carry — the expectation to cope, keep going, provide, and stay strong even when struggling internally.
Many of the men I work with have spent years pushing things down, coping alone, or feeling they should just “get on with it” — until life becomes too heavy to carry quietly. I work specifically with men and understand that starting therapy can feel unfamiliar, uncomfortable, or difficult to talk about. I offer a supportive, non-judgemental space where you can speak openly and be properly heard. Before becoming a therapist, I spent over 25 years working in the construction industry. I understand the pressures many men carry — the expectation to cope, keep going, provide, and stay strong even when struggling internally.
01432 802671 View 01432 802671
Photo of Amanda Rawle, Counsellor, MBACP
Amanda Rawle
Counsellor, MBACP
Bristol BS49
Hi. My name is Amanda and I am a fully qualified and experienced professional integrative Counsellor. I work with people going through challenging times in their lives. The focus of our work will be helping you to understand yourself better and to find more constructive ways to deal with the important issues and/or relationships in your life. I offer short-term and long-term counselling to clients who are seeking a confidential and safe space to explore your difficulties where you will be listened to with acceptance and kindness.
Hi. My name is Amanda and I am a fully qualified and experienced professional integrative Counsellor. I work with people going through challenging times in their lives. The focus of our work will be helping you to understand yourself better and to find more constructive ways to deal with the important issues and/or relationships in your life. I offer short-term and long-term counselling to clients who are seeking a confidential and safe space to explore your difficulties where you will be listened to with acceptance and kindness.
01934 443040 View 01934 443040
Photo of Bernadette Jones, Counsellor, MBACP Accred
Bernadette Jones
Counsellor, MBACP Accred
Serves Area
I offer face-to-face and online therapy for individuals and couples. As a Person-Centred and Cognitive Behavioural Therapist with postgraduate training from the University of Oxford, I provide a supportive space to explore your thoughts, emotions, beliefs and behaviours that may be maintaining your difficulties, and help you move towards your goals. I have worked with many clients experiencing anxiety (generalised, health, social), OCD, depression, panic, phobias, PTSD and trauma. For couples, I support partners in identifying problems and recurring patterns, working together to build shared goals and aspirations.
I offer face-to-face and online therapy for individuals and couples. As a Person-Centred and Cognitive Behavioural Therapist with postgraduate training from the University of Oxford, I provide a supportive space to explore your thoughts, emotions, beliefs and behaviours that may be maintaining your difficulties, and help you move towards your goals. I have worked with many clients experiencing anxiety (generalised, health, social), OCD, depression, panic, phobias, PTSD and trauma. For couples, I support partners in identifying problems and recurring patterns, working together to build shared goals and aspirations.
01297 300855 View 01297 300855
Photo of Emma Ware, Psychotherapist, UKCP Trainee
Emma Ware
Psychotherapist, UKCP Trainee
1 Endorsed
Bristol BS2
Hi I’m Emma, a psychotherapist in training offering low-cost therapy in Bristol and online. I’m studying Core Process psychotherapy at the Karuna institute and am a trainee member of the UKCP. This mindfulness-based approach creates a safe and supportive space where together we can explore your experiences and challenges. Maybe you feel overwhelmed by emotions or by life, maybe you feel numb, frozen or uninspired, whatever you bring I welcome all parts of you. I invite you to a free initial meeting online where we can think about your needs and see how it would feel to work together
Hi I’m Emma, a psychotherapist in training offering low-cost therapy in Bristol and online. I’m studying Core Process psychotherapy at the Karuna institute and am a trainee member of the UKCP. This mindfulness-based approach creates a safe and supportive space where together we can explore your experiences and challenges. Maybe you feel overwhelmed by emotions or by life, maybe you feel numb, frozen or uninspired, whatever you bring I welcome all parts of you. I invite you to a free initial meeting online where we can think about your needs and see how it would feel to work together
01454 803141 View 01454 803141
Photo of Carol Tibi, Psychotherapist, MBACP
Carol Tibi
Psychotherapist, MBACP
Online Only
You might be experiencing moments where life feels heavy, when motivation dips, emotions feel overwhelming, or even simple tasks like getting up, eating, or connecting with others feel like it's too much. When these feelings begin to shape your daily life, it can be difficult to know where to turn.
You might be experiencing moments where life feels heavy, when motivation dips, emotions feel overwhelming, or even simple tasks like getting up, eating, or connecting with others feel like it's too much. When these feelings begin to shape your daily life, it can be difficult to know where to turn.
0131 381 7790 View 0131 381 7790
Photo of Joanne Henshall - Joanne Henshall-Talbot Counselling & Psychotherapy, Counsellor, MA, MBACP Accred
Joanne Henshall-Talbot Counselling & Psychotherapy
Counsellor, MA, MBACP Accred
Serves Area
Are struggling to cope or left with the impact of trauma or abuse? I offer a safe confidential environment to help you overcome the difficulties you may be experiencing. I draw upon a range of different approaches, specialising in Humanistic Integrative & CBT. Perhaps your problems are affecting your relationships or work life? Everybody experiences things differently, and together we can come up with a treatment plan that will fit just for you and help you to progress and change the things you wish to. Gain insight, clarity and direction as you progress toward better understanding, and improved mental health. Jo Henshall MBACP
Are struggling to cope or left with the impact of trauma or abuse? I offer a safe confidential environment to help you overcome the difficulties you may be experiencing. I draw upon a range of different approaches, specialising in Humanistic Integrative & CBT. Perhaps your problems are affecting your relationships or work life? Everybody experiences things differently, and together we can come up with a treatment plan that will fit just for you and help you to progress and change the things you wish to. Gain insight, clarity and direction as you progress toward better understanding, and improved mental health. Jo Henshall MBACP
01202 629341 View 01202 629341

How does your Counsellor compare?

Number of Counsellors in Chapmanslade

< 10

Counsellors in Chapmanslade who prioritize treating:

100% Anxiety
100% Stress
50% Relationship Issues
50% Domestic Abuse
50% ADHD
50% Eating Disorders
50% Depression

Average years in practice

1 Year

Gender breakdown

100% Female

How Counsellors in Chapmanslade see their clients

100% In Person and Online
FAQs - About Therapy and Counselling

How can I find a therapist in Chapmanslade?

Search for nearby therapists or counsellors by inputting your city, postcode, or a provider’s name into the search bar. From there, you can filter providers by the issues they treat, cost, insurance, gender, and other factors to find providers who are well-suited to your needs. To navigate between locations within the same country, enter a new city or postcode into the search bar.

Learn more about how to find a therapist

Is everyone in the Psychology Today Therapy Directory a licensed therapist?

Counsellors and Psychotherapists listed in the directory are members of the main professional associations, mainly the British Association for Counselling and Psychotherapy (BACP) and the UK Council for Psychotherapy (UKCP). Most Psychologists in the directory are accredited members of the British Psychological Society (BPS) and/or are registered in the Health and Care Professions Council (HPCP).

Providers whose professional membership or primary credential has been verified by Psychology Today are signified by a “Verified” symbol. Given that professional memberships are not a statutory requirement for psychotherapists and counsellors in the UK, certain qualified professionals or organisations may choose not to maintain such memberships despite possessing the necessary qualifications. They may be selectively included without the “Verified” seal.

What’s the difference between a psychologist, a therapist, and a counsellor?

Counsellors, psychotherapists and psychologists can all provide counselling or talking therapy and have credentials and experience that enable them to do so in the UK. Psychologists have earned a degree in psychology and many are members of the British Psychological Society (BPS) and have completed a postgraduate qualification in a specialism. Counsellors and Psychotherapists are not required to have a psychology degree, but to belong to a professional organisation such as the BACP or UKCP, they are required to have completed a training course as well as clinical and supervision hours.

What type of therapy is right for me?

The type of therapy best suited to a particular individual depends on several factors, including their primary reason for seeking therapy, their preferred timeline (some therapy types last for a set number of sessions, while others are open-ended), and their personality and preferences—some may prefer a more structured approach. For many individuals, multiple types of therapy could provide a good fit.

How much does therapy cost?

The cost of therapy depends on a number of variables, including location and the therapist’s experience and training. On average, a therapy session in the UK could be between £30 - £60 when seeing a counsellor and £60 - £150 and up when seeing a clinical psychologist. If you have private insurance, your plan may cover some if not all of your sessions. You should contact your insurance provider to determine if they provide coverage for therapy sessions and to determine what, if any, requirements they might have in order for your sessions to be covered, such as a referral from your GP or medical specialist.

What are more affordable or low cost therapy solutions?

Many therapists offer sliding scale payments, usually on a limited number of slots, which consists in an agreement between the therapist and a client to pay a reduced rate. Therapists who provide such arrangements often consider the client's income or ability to pay, but the extent of the discount is ultimately at the therapist's discretion. Furthermore, while group therapy may have different goals and benefits compared to individual therapy, it can be a more affordable solution to address certain types of issues.

If you are struggling to access therapy due to budget constraints, you could also consider public funded mental health services. The NHS Talking therapies programme offers free of charge counselling for common mental health problems like anxiety and depression. The service is available to anyone registered with a GP, though you do not necessarily need to be referred by your GP and can refer yourself directly to a Talking therapies service. The service will provide different solutions, including group and individual therapy, for a limited number of sessions which are generally up to six.

Is online therapy cheaper than in-person therapy?

Many therapists charge the same amount for online therapy as they do for in-person therapy—though clients may still find this cost-effective if it cuts down on their transportation costs. Health insurance plans often offer equivalent coverage for online and in-person therapy; indeed, in many places, they are legally required to do so. Text-based or on-demand therapy apps may be cheaper than traditional one-on-one psychotherapy; however, the practice may be less effective and is not likely to be covered by insurance.

Is online therapy a good option?

Therapy conducted online can be just as effective as in-person therapy, as long as there is a strong alliance between the client and the therapist. To find a therapist who provides telehealth services to clients in your area, click “Online Therapy” on the directory homepage and search by your city or town or your postcode.

Are therapy sessions confidential?

Therapists who are part of a professional organisation such as the BACP, the UKCP, or BPS are bound by an ethical framework that requires them to uphold a confidentiality agreement. Confidentiality is a crucial part of the therapeutic relationship and only under specific circumstances, such as when there has been participation in a criminal act or act of terror, or if there is potential or known harm to the client or others, will a therapist be obligated to break the agreement. These exceptions to the confidentiality agreement are usually discussed during the initial consultation.